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2 Analiza i Egzystencja. Czasopismo Filozoficzne

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Terminalna sedacja - między opieką paliatywną a eutanazją

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tom 37

25-41

The aim of this article is a presentation of the problem of terminal sedation as a special medical procedure, an alternative to euthanasia and physician assisted death. Terminal sedation is consist in narcotizing the patient in the last stage of terminal disease, sometimes with discontinued nutrition and hydration until death. The goal of this procedure is to eliminate pain and suffering without causing death of the patient. The opponents of this method claim that terminal sedation is a form of euthanasia. The supporters see the difference because the intention of physician must relieve unbearable suffering when the other procedures are useless. The terminal sedation has to be last resort in palliative care and the decision making process must be very careful. In case of applying this radical method the basis should be always the informed consent of the patient and the respect for the dying person.

Próba oceny sytuacji granicznych związanych z chorobą i umieraniem

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nr nr 22

139-169

The aim of this article is an attempt to evaluate the following issues related to thelast stage of illness and death: discontinue of artificial nutrition and hydration, discontinueor refrain from life-saving therapy or palliative sedation.Mentioned cases are borderline situations. Medical consultants, taking thedecisions of removing the tube feeding, discontinuing or not taking up the procedurewhich causes maintain the patient’s life or applying terminal sedation, are aware, thatabove will lead to patient’s death. This is the reason why above situations cause lotsof doubts, the most important of which is a question, whether we are dealing withpassive euthanasia. Is it possible to carry out the border between forbidden “kill” andpermitted “let die”. Any attempt to answer this question is a kind of consensus.